| Organization Name: | PEDIATRIC HEALTHCARE OF QUEENS PC |
| NPI Number: | 1003952235 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEMETRIOS MARKOUIZOS (PRESIDENT OWNER) |
| Mailing Address: | 27 47 Crescent Street Suite 101 Astoria |
| State: | NY US |
| Postal Code: | 11102 |
| Phone Number: | 7182789500 |
| Fax Number: | 7182782430 |
| NPI Enumeration Date: | 01/29/2007 |
| NPI Last Update Date: | 02/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080A0000X |
| License Number: | 170828 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |